UK Edition. Click here for US version.
CHLORDIAZEPOXIDE 5MG CAPSULES
Active substance(s): CHLORDIAZEPOXIDE HYDROCHLORIDE
CHLORDIAZEPOXIDE 5mg AND 10mg CAPSULES
Read all of this leaflet carefully before you start taking this medicine because it contains important
information for you.
Keep this leaflet. You may need to read it again.
If you have further questions, ask your doctor or pharmacist.
This medicine has been prescribed for you only. Do not pass it on to others. It may harm
them, even if their signs of illness are the same as yours.
If you get any side effects, talk to your doctor or pharmacist or nurse. This includes any
possible side effects not listed in this leaflet. See section 4.
What is in this leaflet
1. What your medicine is and what it is used for
2. What you need to know before you take your medicine
3. How to take your medicine
4. Possible side effects
5. How to store your medicine
6. Contents of the pack and other information
1. WHAT YOUR MEDICINE IS AND WHAT IT IS USED FOR
The name of your medicine is Chlordiazepoxide 5mg Capsules or Chlordiazepoxide 10mg Capsules.
Chlordiazepoxide is a member of a group of medicines called benzodiazepine anxiolytics.
Your medicine can be used for the short-term relief (2-4 weeks treatment only) of:
muscle spasm of varied cause.
symptoms of alcohol withdrawal
anxiety causing distress or insomnia (difficulty sleeping)
anxiety occurring with mental health problems
2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE YOUR MEDICINE
DO NOT take your medicine if you:
are allergic to chlordiazepoxide or any of the other ingredients in chlordiazepoxide capsules. An
allergic reaction may include a rash, itching, difficulty breathing or swelling of the face, lips, throat or
have reduced blood flow to the lungs- symptoms may include coughing and shortness of breath
have any problems with your breathing
have anxiety disorders due to unreasonable thoughts and fears (obsessional states)
havea long-term mental condition causing hallucinations and delusions etc.
have sleep apnoea (stopping breathing while asleep)
have a severe liver disorder
have a muscle weakness disorder known as myasthenia gravis
suffer from depression that is not being treated.
Chlordiazepoxide capsules are not to be used in anyone under 18 years of age.
Warnings and precautions
Talk to your doctor or pharmacist or nurse before taking Chlordiazepoxide capsules if you:
if you are elderly, have suffered long-term lung, kidney or liver problems (as you may need to take a
have recently suffered a bereavement or loss (your medicine may make it harder to come to terms
with your loss) should not be used as primary treatment or alone.
suffer from psychiatric disorders such as schizophrenia, manic depression, delirium or senile
dementia have been taking this medication for a long period, as there is a risk of dependence; abrupt
termination of treatment results in withdrawal symptoms. These include headache, muscle pain,
extreme anxiety, tension, restlessness, nervousness, sweating, confusion and irritability; sleep
disturbance, diarrhoea, depression, rebound insomnia and mood changes.
have a decrease in mental functions you should receive a lower dose
have a history of drug or alcohol abuse
Chlordiazepoxide capsules relax the muscles, therefore elderly patients should take extra care when
they get up at night as there is a risk of falls and consequently injuries, including hip fractures.
Taking other medicines
Your medicine may interfere with other medicines that you are taking. Please tell your doctor or
pharmacist if you are taking, or have recently taken any other medicines even those not prescribed.
Tell your doctor or pharmacist if you are taking any of the following medicines:
Anti-depressants, tranquillisers (e.g. diazepam),
sleeping tablets, neuroleptics, hypnotics and
other such medicines which act on the brain and
drugs used to treat epilepsy (e.g. phenytoin,
phenobarbitone) or barbiturates or combinations
anaesthetic drugs (drugs used to put you to sleep
during an operation or surgery)
Medicines that affect the liver e.g. rifampicin, (a
drug used in the treatment of tuberculosis)
cimetidine (used to treat acid indigestion &
ulcers), omeprazole (used to treat stomach
problems) disulfiram and contraceptive agents.
drugs known as dopaminergics, (e.g. levodopa,
used to treat Parkinson’s disease)
baclofen (muscle relaxant), cisparide (prevent
constipation), nabilone (anti sickness)
pain killers (e.g. codeine, morphine)
drugs to treat high blood pressure
(antihypertensives)e.g., ACE inhibitors,
alpha blockers, angiotensin–II receptor
antagonists, calcium channel blockers,
adrenergic neurone blockers and
drugs used to open blood vessels
(vasodilators) e.g. nitrates, hydralazine,
minoxidil and sodium nitroprusside.
drugs used to treat heart conditions
(cardiac drugs) e.g. digoxin.
drugs used to thin the
(anticoagulants) e.g. warfarin
drugs that increase the loss of salt and
water from the body (diuretics) e.g.
sodium oxybate, used in patients with
theophylline used to make breathing
Antihistamines (used to for treating
allergies) that cause drowsiness (e.g
Pregnancy, breast-feeding and fertility
DO NOT take this medicine if you are pregnant (especially during the first and last trimester), or might
become pregnant without consulting your doctor. Chlordiazepoxide may cause damage to the foetus.
DO NOT take this medicine if you are breast-feeding, as the drug may pass into breast milk. Always ask
your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
This medicine may make you feel drowsy or affect your concentration. . Patients should be advised that
sedation, amnesia (forgetfulness), impaired concentration, dizziness, blurred vision and impaired
muscular function may occur and that, if affected, you should not drive or operate machinery or take part
in other activities where this would put themselves or others at risk. If insufficient sleep duration occurs,
the likelihood of impaired alertness may be increased.
You should avoid drinking any alcohol while you are taking chlordiazepoxide capsules, as you may feel
Important information about some of the ingredients of your medicine
Chlordiazepoxide Capsules contain lactose monohydrate. If you have been told by your doctor that you
have an intolerance to some sugars, contact your doctor before taking this medicinal product.
3. HOW TO TAKE YOUR MEDICINE
Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or
pharmacist if you are not sure. This medicine is for short-term relief only and should not be used beyond
4 weeks.The dose that your doctor prescribes will depend on the nature of your illness, your reaction to
the medicine, your age, and bodyweight. Do not change the prescribed dose yourself. The label on your
medicine should also tell you.. If you think that the effect of your medicine is too weak or too strong,talk
to your doctor.
Your doctor will decide the correct dosage for your condition.
Swallow the capsule(s) whole with a glass of water.
Anxiety: The usual dose is 5mg three times daily and increased if necessary up to 100mg daily in
Sleeping disorders (insomnia) associated with anxiety: The usual dose is 10mg to 30mg before going
Relief of symptoms of withdrawal from alcohol: The usual dose is 25mg to 100mg repeated if
necessary 2 to 4 hours after the initial dose, if necessary.
Relaxation of muscle spasms: The usual dose is 10mg to 30mg daily in divided doses throughout the
Chlordiazepoxide Capsules are NOT recommended for use in children.
The elderly are particularly sensitive to the effects of this medicine and may experience confusion. The
usual maximum dose for elderly patients is half the adult dose.
Overdose: If you take more of your medicine than you should
If you take too many capsules tell a doctor or contact your nearest hospital casualty department
immediately. Take your medicine with you.
If you forget to take your medicine
If you forget to take a dose of your medicine at the correct time, take it as soon as you remember then
carry on as before. Do not take a double dose to make up for a forgotten dose.
If you stop taking your medicine
Long term treatment with chlordiazepoxide, especially in high doses, may lead to dependence, with
withdrawal symptoms after stopping treatment. Your doctor will advise you on this. Keep taking your
medicine until your doctor tells you to stop. Withdrawal effects may occur if the medicine is stopped
suddenly. This is less likely if your dose is gradually reduced towards the end of your treatment.
Withdrawal symptoms may include:
Changes in behaviour
headaches and muscle pain
In severe cases the following symptoms may occur:
changes in mood and behaviour or the way you are feeling
tingling sensations and numbness of the extremities
over-sensitivity to light, noise and touch
feeling of unreality or being separated from the body
Fits (seizures and convulsions)
If you are woken up soon after taking the medicine your memory maybe temporarily affected.
The number of Chlordiazepoxide Capsules and how often you take them should always be reduced slowly
before stopping them. Treatment should not be continued at the full dose beyond 4 weeks. Long term use
is not recommended.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist or nurse.
4. POSSIBLE SIDE EFFECTS
Like all medicines, Chlordiazepoxide can cause side effects, although not everybody gets them.
Stop taking Chlordiazepoxide Capsules and see a doctor or go to a hospital straight away if develop
any of the following symptoms: A severe allergic (anaphylaxis) or serious allergic reaction which causes
swelling of your face or throat (angioedema), difficulty breathing, thoughts of self harm, yellowing of
the skin and eyes (jaundice), abnormality in the blood with symptoms such as weakness, bleeding
problems, pale skin, sore throat and frequent infections.
If these behavioural symptoms occur, you must inform your doctor. He/she may want you to stop
taking this medicine. Tell your doctor or pharmacist if you develop any of the following side
Common side effects may affect up to 1 in 10 people
drowsiness and lightheadedness the next day.
sedation and dizziness- symptoms include slurred speech, lack of co-ordination, tiredness or
ataxia- symptoms include unsteadiness and clumsiness
difficulty controlling movements
Rare side effects may affect up to 1 in 1,000 people
changes in sex drive
difficulty passing urine
problems with your eye sight
including double vision and
blood disorders (e.g. blood dyscrasias symptoms include weakness, pale skin and bleeding problems)
lowering of blood pressure- symptoms include light-headedness, feeling dizzy or faint.
The following side effects have also been reported (Frequency unknown):
Decreased level of consciousness
Aggressive outbursts, inappropriate behaviour
restlessness, agitation, delusion, nightmares, increased liver enzymes, changes in the way you walk
and muscle weakness.
Paradoxical reactions (e.g. saliva altered, anxiety, sleep disorders, insomnia, suicide attempt, suicidal
tremors, stiffness and slow movement.
hallucinations and nightmares
If any of the side effects get serious, or if you notice any side effects not listed in this leaflet, please
tell your doctor or pharmacist.
Reporting of side effects
If you get any side effects, talk to your doctor or pharmacist or nurse. This includes any possible side
effects not listed in this leaflet. You can also report side effects directly via the yellow card scheme at
www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the
safety of this medicine.
5. HOW TO STORE YOUR MEDICINE
Keep this medicine out of the sight and reach of children.
Do not take your medicine after the expiry date, which is stated on the carton or pot label. The expiry date
refers to the last day of that month.
Store your capsules below 25oC.
Return any unused capsules to your pharmacist. Only keep them if your doctor tells you to.
Do not use this medicine if you notice any visible signs of deterioration or damage.
Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw
away medicines you no longer use.
These measures will help protect the environment.
6. CONTENTS OF THE PACK AND OTHER INFORMATION
What Chlordiazepoxide contains
The capsules contain either 5mg or 10mg of the active substance chlordiazepoxide hydrochloride.
The other ingredients are lactose monohydrate, maize starch and magnesium stearate. The capsule shell
contains the ingredients Erythrosine (E127) (5mg Capsules only), Iron oxide black (10mg Capsules only),
Titanium dioxide, Indigo Carmine (E132), Quinoline Yellow (E104), Gelatin. The printing ink contains
the ingredients: Shellac, Dehydrated alcohol, Isopropyl alcohol, Butyl alcohol, Propylene glycol, Strong
Ammonia solution, Purified water, Potassium hydroxide and Titanium dioxide
What Chlordiazepoxide looks like and the contents of the pack
The 5mg capsules have a yellow body and turquoise cap and are marked “CDP 5” in white.
The 10mg capsules have a green body and black cap and are marked “CDP 10” in white.
The capsules are available in pots containing 28, 30, 56, 60, 100 and 500 capsules and blisters containing
28, 30 and 100 capsules, only on prescription from your doctor. Not all pack types or sizes may be
Marketing Authorisation Holder
Athlone Laboratories Limited, Ballymurray, Co. Roscommon, Ireland.
Company responsible for release of this medicine
Kent Pharmaceuticals Limited, Crowbridge Road, Ashford, Kent, TN24 0GR, U.K.
Kent Pharmaceuticals Limited, Repton Road, Measham, DE12 7DT, U.K.
Kent Pharmaceuticals Limited, Repton Road, Measham, DE12 7DT, U.K.
PL 06453/0002 and PL 06453/0003
This leaflet was last revised May 2017
ALMUS LEAFLET STATES:
Almus Pharmaceuticals, 43 Cox Lane, Chessington, KT9 1SN, UK
This leaflet was last revised
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.